<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
    <title>立即报名，不容错失</title>
    <link rel="stylesheet" href="layui/css/layui.css">
    <script src="jquery.js"></script>
    <script src="layui/layui.js"></script>
    <link rel="stylesheet" href="css/apply.css">

</head>
<body>
<!--<div class="bagimg1">-->

<!--</div>-->
<div class="layui-col-sm6 layui-col-sm-offset3" style="text-align: center">
    <img src="img/header.png" style="width: 100%">
</div>
<div class="by layui-col-sm6 layui-col-sm-offset3">
    <div class="by_zt">已有 <label class="lab_1">9999</label> 客户报名或咨询</div>
    <form class="layui-form">

        <div class="layui-row">
            <div class="layui-col-xs-10 layui-col-xs-offset1">
                <input type="text" placeholder="您的手机号码" class="layui-input ipt" value="" id="phone">
            </div>
        </div>

        <div class="layui-row">
            <div class="layui-col-xs-10 layui-col-xs-offset1">
                <input type="text" placeholder="您的称呼" class="layui-input ipt" value="" id="name">
            </div>
        </div>
        <div class="layui-row">
            <div class="layui-col-xs-10 layui-col-xs-offset1">
                <input type="text" placeholder="您的公司或店铺名字" class="layui-input ipt" value="" id="gsname">
            </div>

        </div>
        <!--<div class="layui-row">-->
        <!--<div class="layui-col-xs-10 layui-col-xs-offset1">-->
        <!--<input type="text" placeholder="您意向所要投放商场" class="layui-input ipt" >-->
        <!--</div>-->
        <!--</div>-->
        <!--<div class="layui-form-item">-->

            <!--<div class="layui-input-block">-->
        <div class="layui-row">
            <div class="layui-col-xs-10 layui-col-xs-offset1 iptt" style="font-size: 0.9rem">
                <select name="city" style="background-color: rgb(251,176,62);">
                    <option value="">您意向所要投放商场</option>
                </select>
            </div>

        </div>

            <!--</div>-->
        <!--</div>-->
        <div class="layui-row">
            <div class="layui-col-xs-10 layui-col-xs-offset1">
                <input type="text" placeholder="销售顾问姓名" class="layui-input ipt" value="" id="xsname">
            </div>
        </div>

        <div class="layui-row">
            <div class="layui-col-xs-10 layui-col-xs-offset1">
                <input class="layui-btn layui-btn-fluid layui-btn-danger btn" value="立即报名，不容错失" id="sub_form"/>
            </div>
        </div>

    </form>
</div>
<div class="layui-col-sm6 layui-col-sm-offset3" style="text-align: center">
    <img src="img/footer.png" style="width: 100%">
</div>
<!--<div class="bagimg2">-->

<!--</div>-->
<script src="js/apply.js"></script>
</body>
</html>